South Florida Jaw And Facial Surgery-dental Implants Center Pa | |
7600 S Red Rd Ste 101 South Miami FL 33143-5429 | |
(305) 661-5297 | |
(305) 667-3503 |
Full Name | South Florida Jaw And Facial Surgery-dental Implants Center Pa |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 7600 S Red Rd Ste 101, South Miami, Florida |
Authorized Official Name and Position | Millie Acosta Fernandez (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 3056615297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Florida Jaw And Facial Surgery-dental Implants Center Pa 7600 S Red Rd Ste 101 South Miami FL 33143-5429 Ph: (305) 661-5297 | South Florida Jaw And Facial Surgery-dental Implants Center Pa 7600 S Red Rd Ste 101 South Miami FL 33143-5429 Ph: (305) 661-5297 |
NPI Number | 1578114443 |
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Provider Enumeration Date | 09/23/2019 |
Last Update Date | 09/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578114443 | NPI | - | NPPES |
NA | Other | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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